Seib et al reported a modified frailty score based on the National Surgical Quality Improvement Program (NSQIP). The authors are from the University of California in San Francisco.
Parameters:
(1) history of diabetes mellitus
(2) impaired functional status
(3) history of COPD or pneumonia
(4) history of congestive heart failure
(5) history of myocardial infarction within the past 6 months
(6) history of percutaneous coronary intervention (PCI)
(7) cardiac surgery or angina
(8) therapy with antihypertensive medications
(9) peripheral vascular disease or rest pain
(10) impaired sensorium
(11) history of transient ischemic attack or cerebrovascular accident with persistent residual defect
Status
|
Points
|
absent
|
0
|
present
|
1
|
total score =
=SUM(points assigned for all 11 parameters)
modified fraility index =
= (total score) / 11
Interpretation:
• minimum score: 0
• maximum score: 11
• The modified frailty score ranges from 0 to 1.
Total Score
|
Category
|
0 or 1
|
low
|
2 or 3
|
intermediate
|
4 to 11
|
high
|